89R152 MM-F By: Johnson, Cook S.J.R. No. 32 A JOINT RESOLUTION proposing a constitutional amendment requiring the state to expand eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act. BE IT RESOLVED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Article XVI, Texas Constitution, is amended by adding Section 74 to read as follows: Sec. 74. The state shall provide medical assistance to all individuals who apply for that assistance and for whom federal matching funds are available under the Patient Protection and Affordable Care Act (Pub. L. No. 111-148), as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. No. 111-152), to the state to provide that assistance. SECTION 2. The following temporary provision is added to the Texas Constitution: TEMPORARY PROVISION. (a) This temporary provision applies to the constitutional amendment proposed by the 89th Legislature, Regular Session, 2025, requiring the state to expand eligibility for Medicaid to all individuals for whom federal matching funds are available under the federal Patient Protection and Affordable Care Act. (b) Section 74, Article XVI, of this constitution takes effect January 1, 2026. (c) This temporary provision expires January 1, 2027. SECTION 3. This proposed constitutional amendment shall be submitted to the voters at an election to be held November 4, 2025. The ballot shall be printed to provide for voting for or against the proposition: "The constitutional amendment requiring the state to expand eligibility for Medicaid to all individuals for whom federal matching funds are available under the federal Patient Protection and Affordable Care Act."